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Dr. Richard Fleming

Facial Plastic Surgery
Beverly Hills, CA
52 years experience male

Locations

Office

Beverly Hills, CA

Address

416 N Bedford Dr Ste 200, Beverly Hills, CA
Directions

Practice website

Insurances accepted

No Value

Office

Beverly Hills, CA

Office

Beverly Hills, CA

About

Bio

<!--StartFragment--> I have been practicing plastic surgery in Beverly Hills for thirty five years. Facial plastic surgery is my specialty, and I do some body liposuction. When patients come to me for any procedure, I strongly emphasize the importance of maintaining a natural appearance. Included among the procedures I perform are: &middot;<em> </em>Blepharoplasty</address> &middot;<em> </em>Botox</address> &middot;<em> </em>Browlift</address> &middot;<em> </em>Cheeklift</address> &middot;<em> </em>Facelift</address> &middot;<em> </em>Facial Implants</address> &middot;<em> </em>Facial Fat Grafting</address> &middot;<em> </em>Fillers Liposculpture</address> &middot;<em> </em>Hairline lowering</address> &middot;<em> </em>Liposuction</address> &middot;<em> </em>Rhinoplasty</address> Two of my specialties are Rhinoplasty and Revision Rhinoplasty, both requiring great surgical skill, artistry, and finesse. When a patient comes to me and wants to have rhinoplasty, I take into consideration person&rsquo;s entire face before surgery, ensuring after surgery the patient&rsquo;s nose will suit the individual. Hairline lowering is a new procedure developed to help people who have too-high hairlines as a result of genetics or previous surgery. Many people, particularly women, find themselves trying to hide a too-high hairline, with very limited options. My hairline lowering surgery changes that for them with relatively brief recovery time. The new hairline lowering procedure brings the proportion of the face into balance, and can be performed at the same time as the forehead/brow lift. This gives patients the hairline they desire with total freedom of hairstyling. I believe very strongly there is no one-size-fits-all surgery for any patient. Every surgery I perform is carefully planned to suit the individual patient. I have performed surgery on patients from all walks of life, celebrities to students, each receiving the high standard of care that is the hallmark of my practice. Dr. Fleming&rsquo;s certifications include: American Board of Facial Plastic and Reconstructive Surgery American Board of Cosmetic Surgery American Board of Otolaryngology-Head and Neck Surgery <!--EndFragment-->

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Facial Plastic Surgery

ENT and Head and Neck Surgery

Plastic Surgery

Doctor Q&A

89 Answers
5 Agrees
The number of answers this doctor has agreed with.
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
A : A rhinoplasty is the procedure to correct the appearance and improve breathing obstruction caused by a broken nose. Select an experienced rhinoplasty ... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
In : In 35 years i've never seen a chin implant move. Sutures from the implant to the adjacent tissue are placed to secure the implant during the healing p... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Reports : Reports have shown different results regarding the duration of effectiveness using Botox vs dysport, but for most of us there is no significant differ... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
I : I agree with dr. Ridgway's response that a 3-5 % revision rate is appropriate for a patient's first rhinoplasty is acceptable. Most of those are minor... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
There : There should be no pain after Radiesse (dermal fillers) injections regardless of where the filler is placed. We always add local anesthesia to the fil... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
First : First of all, select a board certified surgeon who is experienced in this procedure. If by chance too much is removed, the best treatment for this com... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Botox : Botox is not a filler. Botox is used to weaken or eliminate lines of motion caused by contraction of your facial muscles. Products such as juvederm, r... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Obviously : Obviously you should the nasal dressings dry immediately after your surgery. Once they are removed you can gently wash and dry your skin without massa... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
A : A brow lift is usually a cosmetic procedure which is not covered by insurance. The only exceptions would be brow ptosis (sagging) caused by things lik... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
The : The incision for an open rhinoplasty is made between the nostrils at the base of the nose. I started using this technique in 1975; the scar has never ... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
If : If you are going to have both surgeries done, it would be foolish not to have them both at the same time. You will have only one operation, anesthetic... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Within : Within the first 24-48 hours after filler injections massage will help to smooth any small irregularities. Having said that, follow your physicians in... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Not : Not knowing what medications you're taking i suggest you consult with your internist. Any anti-coagulants (blood thinning medications) would cause bru... Read More
A member asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
At : At this time it is best for you be patient. Hopefully this is secondary to residual, temporary swelling. It is encouraging that some smell is present.... Read More
A 39-year-old female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Your : Your next step should be consultation with an experienced surgeon. Liposuction would probably be beneficial, but skin excision will be necessary if la... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
You : You do not mention when the accident occurred. If there is a change in the appearance or function of your nose after the swelling resolves surgery may... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
My : My advice would be to never use Radiesse at the lower eyelid margin because that skin is thin. I recommend that Restylane (dermal fillers) be injected... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
If : If you get a cold after your rhinoplasty surgery you will not be able to blow your nose for 10-14 days. You can expect nasal congestion and drainage f... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
A : A chin implant can be removed, but spend the time consulting with a experienced surgeon who will show pictures of results in similar patients. That wo... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Whenever : Whenever possible we always place incisions in natural lines or in places where they will not be seen. Incisions for an otoplasty are made on the back... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
The : The answer depends on the position of your hairline because the frontal hairline will be elevated, sometimes significantly, with an endoscopic brow li... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
I : I instruct my patients to avoid strenuous activities for 2 weeks after surgery. After all the time and money you will spend to improve your breathing,... Read More
A 23-year-old member asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Chin Implant: The implant may be rubbing the sensory nerve which is adjacent to the implant. Consult with the surgeon who did your operation. Removal is sometimes n... Read More
A 28-year-old member asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Yes: Non-surgical nose reshaping usually refers to the use of fillers to improve nasal contours. Although very rare, there is a risk of arterial embolism w... Read More
A 31-year-old member asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Hair Loss in Women: Hair loss in men occurs secondary to the influence of male hormones such as testosterone and testosterone derivatives which affect sensitive hair fol... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Some : Some fillers, like juvederm, can be eliminated with the injection of hyaluronidase which will dissolve the filler. There is no such product to elimina... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Normally : Normally drainage from the nose will last throughout the evening of surgery. It is very rare for this to last for "several days". You can minimize thi... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
If : If the lines are lines of animation, that is only present when moving your forehead, Botox or a similar product is the best treatment. If the lines ar... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
The : The cost of cosmetic surgery will vary in different parts of the country and also depends on the experience of your surgeon. We are all concerned abou... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
I : I have never seen a patient who had prolonged numbness after Radiesse (dermal fillers) injections. As you suggest this may have been secondary to the ... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
You : You can eat solid foods immediately after your chin implant, but i always suggest that patients avoid hard food like apples or raw vegetables for a co... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
I : I give my patients a narcotic like vicodin or percoset which most people take for the first 24 hours but they have enough for several days. After that... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
The : The answer to your question will depend on the type of facelift that is done. In general, i tell my patients to allow 10-14 days for swelling and brui... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
As : As long as the Radiesse (dermal fillers) injections are done by an experienced physician the product is not dangerous. I frequently use this product i... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
A : A chin augmentation will not affect your ability to grow a beard when an implant is surgically placed. The incision is made inside the mouth or in a f... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
I : I cannot say that eye swelling is impossible when Radiesse (dermal fillers) is injected into the cheeks but i've never seen this and it is extremely ... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
In : In very young people like your daughter I have done nasal surgery following a significant injury with a broken nose or in patients who have severe nas... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
The : The most important thing you can do to minimize risks with your surgery is to pick a rhinoplasty surgeon who specializes in revisions. Look at that su... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Find : Find an experienced surgeon in your community who shows you multiple examples of good results. If you have good skin tone, you should expect a satisfa... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Every : Every physician has their own preferences using the many available fillers. The advantage of artefill is that it is permanent. By adding volume to the... Read More
A member asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
There : There aren't any non-surgical treatments for bags under your eyelids. The bags are protrusions of normal orbital fat and are frequently removed throu... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Permanent : Permanent numbness after a brow lift is a possible complication but I have never seen this regardless of the technique i used. There is less risk if t... Read More
A 24-year-old member asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Yes: If a patient is going to have a septoplasty to improve nasal function and a cosmetic rhinoplasty, do both at the same time because the result will be... Read More
A 40-year-old member asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Safe Medications: Consult with your obstetrician about all medications and creams used during pregnancy.
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
If : If you do not like the results after Perlane (dermal fillers) injections the filler cannot be removed but it can be dissolved with hyaluronidase injec... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
I : I prefer to use a light general anesthetic or IV sedation for brow lifts. I have rarely done the surgery with only local anesthesia in patients i feel... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
The : The incision for chin augmentation with an implant is placed in the mouth or in a crease under the chin. The incision is small and inconspicuous.
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
I : I do not ask patients to remove eyelash extensions before their blepharoplasty surgery. Long lashes are common today with the use of extensions and th... Read More
A female asked:
Dr. Richard Fleming
Facial Plastic Surgery 52 years experience
Juvederm : Juvederm ultra is a hyaluronic acid that is used for volume enhancement. The ultra plus is a thicker, more concentrated form of the same material whic... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

5
Recommendations
200
Thank you notes
Dec 2, 2012
I endorse this doctor. I have worked with Dr Fleming regularly over the past 25 years. I have frequently done preoperative evaluations of his patients and can say that I have never seen or heard o...Read More
Dec 2, 2012
I endorse this doctor.I am a physician and I fully endorse Dr. Richard W. Fleming. I have known Dr. Fleming for 40 years and he has always shown the utmost integrity and clinical judgement. He is an e...Read More
Mar 23, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer was very helpful!
HealthTap member
This was very helpful. Thanks!

Education & Training

Medical/Graduate school

Saint Louis University School of Medicine
Graduated 1970MD

Medical/Graduate school

Notre Dame University
MD

Residency

Los Angeles County-USC Medical Center

Residency

Cedars-Sinai Medical Center

Awards

Top Facelift Doctor, Realself
Top Rhinoplasty Doctor, Realself

Affiliations

American Medical Association
American Academy of Otolaryngology - Head and Neck Surgery
American College of Surgeons
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less